Ellie's Project Grants
Ellie Project Grants provides SWAN USA recipients with funding to meet a specific need. Grants are available up to a maximum of $500.00 USD.
Name of person completing form *
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Grant Recipient Name *
Your answer
Address *
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City *
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State *
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Zip *
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Country *
Your answer
Email *
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Phone *
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Tell us about your story *
Your answer
Do you have a Facebook page or blog that you use to share your story? *
Your answer
What is the item being requested? *
Please be as specific as possible
Your answer
Company phone number?
Your answer
Company website?
Your answer
Does this item exceed the $500.00 USD maximum grant amount? *
Do you understand that partial grant requests are funded only when the remainder of the money has been raised? *
How will this grant benefit the recipient and family? *
Your answer
Legal Disclosure *
By participating in this grant program, I acknowledge that I have elected to participate voluntarily. I hereby release SWAN USA (Syndromes Without A Name), its board members and agents from any damage I may suffer as a result of my voluntary participation and I hereby hold harmless SWAN USA (Syndromes Without A Name), its board members and agents from any and all liability as a result of any damage, of whatever nature, I may suffer as a result of my voluntary participation in this grant program.
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